玻璃体内气体注射及仰卧位用于巩膜内人工晶状体固定术后低眼压

Intra-vitreal gas injection and supine positioning for hypotony post-intrascleral intraocular lens fixation.

作者信息

Kumoi Miho, Matsuda Satoshi, Matsuoka Takanori, Tsujino Chieko, Otori Yasumasa

机构信息

Department of Ophthalmology, National Hospital Organization Osaka National Hospital, 2-1-14 Hoenzaka, Chuo-ku, Osaka, Japan.

出版信息

Am J Ophthalmol Case Rep. 2022 Feb 12;26:101385. doi: 10.1016/j.ajoc.2022.101385. eCollection 2022 Jun.

DOI:10.1016/j.ajoc.2022.101385

PMID:35243148

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8858868/

Abstract

PURPOSE

This study aimed to report a case of intravitreal gas injection in the supine position for hypotony after intrascleral intraocular lens (IOL) fixation in a patient with Vogt-Koyanagi-Harada (VKH) disease.

OBSERVATIONS

A 72-year-old Japanese female patient presented with blurred vision in her right eye. Both eyes exhibited a sunset glow fundus due to VKH disease. The right IOL was dislocated; therefore, IOL fixation was performed. The patient's hypotony and choroidal effusion persisted postoperatively and her intraocular pressure (IOP) remained 2-4 mmHg despite the performance of two steroid courses. C3F8 (perfluoro pane gas) was injected into the vitreous cavity on postoperative day 35. The patient was instructed to assume a supine position on the third day after injection. At 6 days post-injection, her IOP began to rise; her IOP remained within the normal range until 1 year later.

CONCLUSIONS AND IMPORTANCE

This is the first report of successful intravitreal gas injection in a supinated patient with VKH disease to treat postoperative hypotony.

摘要

目的

本研究旨在报告1例伏格特-小柳-原田（VKH）病患者在巩膜内人工晶状体（IOL）固定术后仰卧位玻璃体腔内注射气体治疗低眼压的病例。

观察结果

一名72岁日本女性患者右眼视力模糊。双眼因VKH病均呈现晚霞样眼底。右眼人工晶状体脱位，因此进行了人工晶状体固定术。术后患者低眼压和脉络膜渗漏持续存在，尽管进行了两个疗程的类固醇治疗，其眼压仍维持在2 - 4 mmHg。术后第35天向玻璃体腔注射了C3F8（全氟丙烷气体）。患者在注射后第3天被要求保持仰卧位。注射后6天，她的眼压开始升高；直到1年后其眼压一直保持在正常范围内。